著者

嶋根 卓也 邱 冬梅 和田 清

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.140, no.2, pp.173-178, 2020-02-01 (Released:2020-02-01)

参考文献数

8

被引用文献数

1 2

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This study aimed to review the current state and trends in cannabis use in Japan, using data from several national epidemiological surveys. The number of cannabis users in the general population was estimated approximately 1.3 million people. Cannabis use increased between 2015 and 2017. In 2017, the lifetime prevalence of cannabis use was greater than that of inhalants, and cannabis had become the most abused drug in Japan. The increase in cannabis users is thought influenced by increased access to illegal cultivation and positive thinking about cannabis use among many people, especially younger individuals.

著者

嶋根 卓也

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.133, no.6, pp.617-630, 2013 (Released:2013-06-01)

参考文献数

22

被引用文献数

2 8

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The nonmedical use of medications, including psychotropic drugs, is a growing health problem in Japan. According to a nationwide survey of mental hospitals, the proportion of patients with sedative (mainly benzodiazepine)-related disorders has more than doubled over the last decade. An association between psychotropic drug overdose and suicide risk has also been reported. Furthermore, over-the-counter drug abuse is still a serious problem in Japan. In recent years, pharmacists have been expected to act as gatekeepers, making timely identifications of suicide risk or substance abuse and directing these individuals to appropriate medical care facilities. In August 2012, the revised Comprehensive Suicide Measures Act identified pharmacists as one professional group that should act as gatekeepers. This article begins by reviewing the fundamental terms involved in understanding the nonmedical use of medications, including abuse, dependence, and intoxication. The current situation of substance abuse and dependence is then introduced through a summary of several epidemiological surveys conducted in Japan. Finally, the role of pharmacists as gatekeepers in preventing substance abuse and dependence on medications is discussed.

著者

嶋根 卓也

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.133, no.6, pp.617-630, 2013

被引用文献数

8

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The nonmedical use of medications, including psychotropic drugs, is a growing health problem in Japan. According to a nationwide survey of mental hospitals, the proportion of patients with sedative (mainly benzodiazepine)-related disorders has more than doubled over the last decade. An association between psychotropic drug overdose and suicide risk has also been reported. Furthermore, over-the-counter drug abuse is still a serious problem in Japan. In recent years, pharmacists have been expected to act as gatekeepers, making timely identifications of suicide risk or substance abuse and directing these individuals to appropriate medical care facilities. In August 2012, the revised Comprehensive Suicide Measures Act identified pharmacists as one professional group that should act as gatekeepers. This article begins by reviewing the fundamental terms involved in understanding the nonmedical use of medications, including abuse, dependence, and intoxication. The current situation of substance abuse and dependence is then introduced through a summary of several epidemiological surveys conducted in Japan. Finally, the role of pharmacists as gatekeepers in preventing substance abuse and dependence on medications is discussed.<br>

著者

嶋根 卓也

出版者

公益社団法人 日本薬学会

雑誌

ファルマシア (ISSN:00148601)

巻号頁・発行日

vol.54, no.6, pp.541-543, 2018 (Released:2018-06-01)

参考文献数

10

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薬剤師による薬物乱用防止といえば,教育現場における薬物乱用防止教育を連想する人が多いだろう.本稿では人が薬物を使う心理社会的背景を明らかにした上で,薬物乱用防止教育を「ダメ.ゼッタイ.」で終わらせてしまうことの危険性や,薬剤師による予防教育について論じた.一方,医療現場においては,睡眠薬等の処方薬(主としてベンゾジアゼピン受容体作動薬)を不適正に使用し,薬物依存に至る症例が増加している.薬剤師は臨床業務を通じて,処方薬乱用に気づきやすい立場にある.そこで後半では,処方薬乱用に対するゲートキーパーとしての薬剤師の役割についても論じた.

著者

谷 真如 高野 洋一 髙宮 英輔 嶋根 卓也

出版者

日本犯罪心理学会

雑誌

犯罪心理学研究 (ISSN:00177547)

巻号頁・発行日

vol.57, no.2, pp.1-17, 2020-01-30 (Released:2020-04-03)

参考文献数

22

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This study compared the psycho–social characteristics of newly entered inmates to penal institutions across Japan with and without partial suspension of execution committed simulant drug related offenses. Inmates with partial suspension of execution were significantly more likely than those without to report engaged experiences in medical care and peer support, criminal history by substance use offences, psychiatric comorbidity and early first time simulant drug use. Furthermore, inmates with partial suspension of execution were found to have a higher degree of problems related to drug use measured by The Drug Abuse Screening Test-20 (DAST-20) than those without. Additionally, results from decision tree analyses indicated that some psycho–social characteristics influence judicial sentencing about imprisonment with partial suspension of execution. The groups with psycho–social characteristics that are likely to be inmates with partial suspension of execution had higher severity of drug use problems than those without them. In the light of these findings, justice decision making of imprisonment with partial suspension of execution seems to be determined with sufficient consideration of treatment needs and responsivity for preventing reoffending.This study compared the psycho–social characteristics of newly entered inmates to penal institutions across Japan with and without partial suspension of execution committed simulant drug related offenses. Inmates with partial suspension of execution were significantly more likely than those without to report engaged experiences in medical care and peer support, criminal history by substance use offences, psychiatric comorbidity and early first time simulant drug use. Furthermore, inmates with partial suspension of execution were found to have a higher degree of problems related to drug use measured by The Drug Abuse Screening Test-20 (DAST-20) than those without. Additionally, results from decision tree analyses indicated that some psycho–social characteristics influence judicial sentencing about imprisonment with partial suspension of execution. The groups with psycho–social characteristics that are likely to be inmates with partial suspension of execution had higher severity of drug use problems than those without them. In the light of these findings, justice decision making of imprisonment with partial suspension of execution seems to be determined with sufficient consideration of treatment needs and responsivity for preventing reoffending.

著者

谷 真如 高野 洋一 髙宮 英輔 嶋根 卓也

出版者

日本犯罪心理学会

雑誌

犯罪心理学研究 (ISSN:00177547)

巻号頁・発行日

vol.57, no.2, pp.1-17, 2020

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<p>This study compared the psycho–social characteristics of newly entered inmates to penal institutions across Japan with and without partial suspension of execution committed simulant drug related offenses. Inmates with partial suspension of execution were significantly more likely than those without to report engaged experiences in medical care and peer support, criminal history by substance use offences, psychiatric comorbidity and early first time simulant drug use. Furthermore, inmates with partial suspension of execution were found to have a higher degree of problems related to drug use measured by The Drug Abuse Screening Test-20 (DAST-20) than those without. Additionally, results from decision tree analyses indicated that some psycho–social characteristics influence judicial sentencing about imprisonment with partial suspension of execution. The groups with psycho–social characteristics that are likely to be inmates with partial suspension of execution had higher severity of drug use problems than those without them. In the light of these findings, justice decision making of imprisonment with partial suspension of execution seems to be determined with sufficient consideration of treatment needs and responsivity for preventing reoffending.</p><p>This study compared the psycho–social characteristics of newly entered inmates to penal institutions across Japan with and without partial suspension of execution committed simulant drug related offenses. Inmates with partial suspension of execution were significantly more likely than those without to report engaged experiences in medical care and peer support, criminal history by substance use offences, psychiatric comorbidity and early first time simulant drug use. Furthermore, inmates with partial suspension of execution were found to have a higher degree of problems related to drug use measured by The Drug Abuse Screening Test-20 (DAST-20) than those without. Additionally, results from decision tree analyses indicated that some psycho–social characteristics influence judicial sentencing about imprisonment with partial suspension of execution. The groups with psycho–social characteristics that are likely to be inmates with partial suspension of execution had higher severity of drug use problems than those without them. In the light of these findings, justice decision making of imprisonment with partial suspension of execution seems to be determined with sufficient consideration of treatment needs and responsivity for preventing reoffending.</p>

著者

嶋根 卓也

出版者

じほう

雑誌

月刊薬事 = The pharmaceuticals monthly (ISSN:00165980)

巻号頁・発行日

vol.58, no.8, pp.1924-1926, 2016-06

著者

森田 展彰 末次 幸子 嶋根 卓也 岡坂 昌子 清重 知子 飯塚 聡 岩井 喜代仁

雑誌

日本アルコール・薬物医学会雑誌 = Japanese journal of alcohol studies & drug dependence (ISSN:13418963)

巻号頁・発行日

vol.42, no.5, pp.487-506, 2007-10-28

参考文献数

25

被引用文献数

9

著者

竹原 健二 野口 真貴子 嶋根 卓也 三砂 ちつる

出版者

日本民族衛生学会

雑誌

民族衛生 (ISSN:03689395)

巻号頁・発行日

vol.73, no.6, pp.211-224, 2007-11-30 (Released:2010-06-28)

参考文献数

27

被引用文献数

3 5

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PURPOSE : This study aims to develop a scale to measure childbirth experience quantitatively and to evaluate reliability and validity of the scale. METHODS : This is a cohort study examining relationship between childbirth experience and following physical and psychological states of mother and child. All women who gave birth at five study centers (four birthing homes and one maternity hospital) from May 2002 to August 2003 were asked to participate in the study. A total of 2314 women were recruited and 1453 of eligible women agreed to participate. Based on the literature review and the written notes by women after childbirth, a multi-disciplinary group consisting ten specialists generated 45 items for inclusion. RESULTS : After examining the content of the items of factors and correlations between factors, the CBE-scale was presented to consist of four positive factors and 18 items ; such as Happiness (4 items), Body Sense (6 items), Discovery (5 items) and Unaffected Self Expression (3 items). It was shown that the CBE-scale was internal consistency with Cronbach's Alphas and itemtotal correlation. Concurrent validity was discussed using a question of subjective attitude towards childbirth such as "Do you feel that the other women would also have the same childbirth experience as you had?" The prediction validity was confirmed using three questions as follows. "Would you like to be pregnant again and to give a birth?", "Do you enjoy being with your baby?" and "Do you feel like holding your baby in your arm all the time?" These questions were asked repeatedly at four-month-, nine-month-and sixteen-month-visits. Students' T-test and logistic regression analysis were carried out to examine relationship between these 3 items and the scale score. CONCLUSIONS : These findings support that the CBE-scale has reliability and validity. The CBE-scale has potential to measure women's subjective experience of childbirth and contribute to an assessment of the quality of care during childbirth.

著者

嶋根 卓也

出版者

公益社団法人 日本薬学会

雑誌

YAKUGAKU ZASSHI (ISSN:00316903)

巻号頁・発行日

vol.136, no.1, pp.79-87, 2016 (Released:2016-01-01)

参考文献数

16

被引用文献数

6

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The non-medical use or abuse of prescription drugs, including benzodiazepines, is a growing health problem in Japan. An association between prescription drug overdose and suicide risk has also been reported. The Japanese Ministry of Health, Labour and Welfare has expected pharmacists to act as “gatekeepers”, facilitating early identification of individuals at high risk of prescription drug abuse including overdose, supplying medication counseling to patients, and helping to introduce these patients to appropriate medical care. Prescription drugs such as benzodiazepines are widely used in psychiatry. However, these drugs are prescribed not only by psychiatrists but also by other healthcare professionals including primary care physicians. Moreover, in recent years, the dispensing of prescriptions has moved rapidly from inside to outside hospitals, with prescription drugs being dispensed mainly at community pharmacies. Although all healthcare professionals including hospital pharmacists can play a role in preventing prescription drug abuse, the role of the community pharmacist is vital in addressing this problem. Formerly, community pharmacists were recognized as “community scientists”, low-threshold accessible healthcare advisors. Now, community pharmacists should return to the role of community scientists to prevent prescription drug abuse. This article begins by reviewing the current situation of prescription drug abuse and dependence in Japan. The role of pharmacists as gatekeepers in preventing prescription drug abuse is then examined. Finally, this article discusses the effect of intervention in the form of gatekeeper training for community pharmacists.

著者

竹原 健二 野口 真貴子 嶋根 卓也 三砂 ちづる

出版者

日本母性衛生学会

雑誌

母性衛生 (ISSN:03881512)

巻号頁・発行日

vol.49, no.2, pp.275-285, 2008-07

参考文献数

31

被引用文献数

4

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【目的】本研究の目的は助産所および産院で出産をした女性における,「豊かな出産体験」を具体的に記述し,そのような体験をした者の割合を明らかにするとともに,施設問の差を検討することとした。【方法】2002年5月〜2003年8月に,調査対象施設(助産所4,産院1)で出産した女性の中から,経膣分娩により出産していることなどの条件を満たした女性1,165人(助産所386人,産院779人)を本研究の対象者とした。出産数日後に調査員が質問票を用いた直接面接を実施してデータを収集した。【結果】対象者の80〜90%が,お産の姿勢が"自然と"決まったり,何か大きな力に"動かされている"ように感じたり,考えるよりも先に身体が動いたりするなど,自分自身の身体をコントロールできなくなるような体験をしていた。約30%の女性がお産の直後に,また産みたいと思っていた。出産体験に関する45項目中39項目で,産院で出産した女性よりも豊かな出産体験をしていることが明らかになった。【考察】従来の「満足なお産」「快適なお産」といった概念では表しきれないような豊かな出産体験や,先行研究で用いられてきた「コントロール」の概念とは異なる,理性を超越したような体験を多くの女性が体験していることが明らかになった。今後は豊かな出産体験につながるような要因を明らかするような研究が望まれる。